NPIMap

Individual provider Active NPI

Sarvenaz Pourjabbar, MD

  • Diagnostic Radiology Physician
  • New Haven, CT
National Provider Identifier
1841601184
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
T9475 Issued in TX
Practice address
20 York St
Ynhh Dept of Radiology
New Haven, CT 06510-3220
Phone
(203) 688-4242
NPI assigned
May 8, 2014
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CT
Diagnostic Radiology Physician 2085R0202X T9475 TX Primary

Addresses

Primary practice location

20 York St
Ynhh Dept of Radiology
New Haven, CT 06510-3220

Mailing address

20 York St
Ynhh Dept of Radiology
New Haven, CT 06510-3220
Phone (203) 688-4242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NM, TX3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211001002875 CA Practitioner - Diagnostic Radiology 1355568387 Reassigns benefits to 5 organizations
I20230403001309 NM Practitioner - Diagnostic Radiology 1355568387 Reassigns benefits to 2 organizations
I20251002002018 TX Practitioner - Diagnostic Radiology 1355568387 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
Sonoran Radiology LTDGroup PAC ID 3375964505, 466 clinicians
Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians
Sierra Vista HospitalGroup PAC ID 0143122416, 64 clinicians

Practice addresses (Care Compare)

Las Cruces, NM 88011
Phone (505) 225-8476

Los Angeles, CA 90049
Phone (832) 915-2534

11730 Mayfield Ave
Apt 101
Los Angeles, CA 90049-5709
Phone (505) 225-8476

1526 10TH Ave
San Diego, CA 92101-2812
Phone (832) 915-2534

1540 Voorhees Ave
Manhattan BCH, CA 90266-7042
Phone (281) 742-0469

4434 Bellingham Ave
Studio City, CA 91604-1201
Phone (832) 915-2534

601 Dr Martin Luther King Jr Ave NE
Albuquerque, NM 87102-3619
Phone (505) 225-8476

800 E 9TH Ave
Truth Or Consequences, NM 87901-1954
Phone (575) 894-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T9475TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoran Radiology LTD Single Specialty CurrentSince Apr 14, 2022 Accepting new patients
Tower Imaging LLC Single Specialty CurrentSince Mar 22, 2022 Accepting new patients
Singleton Associates PA Single Specialty CurrentSince Aug 23, 2022 Accepting new patients
Imaging Associates of New Mexico LLC Single Specialty CurrentSince Aug 15, 2022 Accepting new patients
Sierra Vista Hospital Single Specialty CurrentSince Mar 1, 2023 Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Eagle Partners, PLLC Single Specialty Past Accepting new patients
Tower Imaging LLC Single Specialty Past Accepting new patients
Synergy Radiology Associates PLLC Single Specialty Past Accepting new patients

Locations

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

1201 S Alma School Rd
Ste 14500
Mesa, AZ 85210
Phone (602) 698-7715

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1480 Moraga Rd
Moraga, CA 94556
Phone (925) 790-0451

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

3030 W Picacho Ave
Ste D
Las Cruces, NM 88007
Phone (575) 532-4427

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

6720 Bertner Ave
#2270
Houston, TX 77030
Phone (832) 355-4092

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1841601184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YNHH DEPT OF RADIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 YORK ST",
            "address_2": "YNHH DEPT OF RADIOLOGY",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103220",
            "telephone_number": "203-688-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POURJABBAR",
        "first_name": "SARVENAZ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-08",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "T9475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

Verify at the official NPI Registry.